Active NPI
Adriana Isabel Larrea, CRNA
- Certified Registered Nurse Anesthetist
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11000630
- Practice address
- 1200 7TH Ave N
St Petersburg, FL 33705-1300 - Phone
- (727) 825-1100
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 11000630 | FL | Primary |
Addresses
Primary practice location
1200 7TH Ave N
St Petersburg, FL 33705-1300
Mailing address
238 N Tradewinds Ave
Lauderdale by the Sea, FL 33308-3511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11000630 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galloway Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Galloway Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Amsurg Port Orange Anesthesia, LLC | Current | Accepting new patients |
Locations
7152 Coca Sabal Ln
Fort Myers, FL 33908
Phone (239) 939-9939
7261 Sheridan St
Ste 349
Hollywood, FL 33024
515 W State Road 434
Ste 105
Longwood, FL 32750
Phone (407) 260-6000
7600 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (786) 235-3750
7500 SW 87th Ave
Ste 101
Miami, FL 33173
Phone (305) 595-9511
9415 SW 72nd St
Ste 274
Miami, FL 33173
Phone (305) 468-4184
3635 Clyde Morris Blvd
Ste 500
Port Orange, FL 32129
Phone (386) 760-8151
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Port Orange, FL
- NPI 1043654270
-
- Anesthesiology Physician
- Miami, FL
- NPI 1689989139
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Palm Beach Gardens, FL
- NPI 1316626450
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1639640832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 N TRADEWINDS AVE",
"city": "LAUDERDALE BY THE SEA",
"state": "FL",
"postal_code": "333083511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 7TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337051300",
"telephone_number": "727-825-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARREA",
"first_name": "ADRIANA",
"middle_name": "ISABEL",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "11000630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.